Well, I figured another increase. Up to 239.9mg/L from 176. So another almost 70 point increase. Lamba went down to 10.2mg/L so of course, that means the ratio went up. Up to 23.4 mg/L.

The bigger news is now there is finally a monoclonal protein showing:( it’s at .3  I haven’t had a M protein in over 4 years so that is a bit unsettling.  Well, as I’ve said, the blood tells the story. Not much I can do about it except plan on the timing of Chemotherapy. I’m guessing when I see him at the end of August he will still say, wait.  I’m predicting by November/December will be a good time to start.  If you figure about a 70 point increase each 8 weeks, that puts it at 4months apprx.

This will be my 4th relapse( well technically my 3rd, since I counting when I became refractory to Revlimid and started Pomalyst.) so I guess I know the drill.